NPI | 1912096744 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301043619) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301043619) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2022-03-01 |