NPI | 1962717918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA a126337) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057760) |
Enumeration Date | 2010-08-15 |
Last Update Date | 2018-08-15 |