| NPI | 1093973471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 57.008831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.008831) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NY 251630-1) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2011-12-12 |