NPI | 1851388417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 1564461) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 156446-1) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2022-04-07 |