NPI | 1992785729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R2086) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101048369) |
207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101048369) | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2023-08-10 |