NPI | 1902269855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 281575) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 21565) |
207RR0500X Internal Medicine, Rheumatology (Licence: MA 281575) | |
207RR0500X Internal Medicine, Rheumatology (Licence: NH 21565) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2024-11-08 |