| NPI | 1154455178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A129410) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.093406) |
| 207R00000X Internal Medicine (Licence: IN 01063328A) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-08-17 |