| NPI | 1104978048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 52243) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35085724) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01072711A) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-04-26 |