NPI | 1912946658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: RI MD09598) |
Additional Taxonomies | 174400000X Specialist (Licence: RI MD109667) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-05-27 |