NPI | 1831114008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CA A90242) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90242) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2023-11-27 |