NPI | 1861584641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NE 376) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 376) |
207RR0500X Internal Medicine, Rheumatology (Licence: MT MED-PHYS-LIC-112892) | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2024-02-19 |