NPI | 1831446020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX T6052) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101261805) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2022-12-12 |