NPI | 1821615295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 284794) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 284794) |
Enumeration Date | 2020-07-01 |
Last Update Date | 2025-07-09 |