| NPI | 1043250343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 40951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35086684B) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2012-01-20 |