NPI | 1942615240 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD215272) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD215272) |
207RR0500X Internal Medicine, Rheumatology (Licence: TN 59459) | |
Enumeration Date | 2014-06-25 |
Last Update Date | 2023-08-16 |