| NPI | 1083235014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 57.255576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075509) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-06-23 |