| NPI | 1184875379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO 0056418) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35099423) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2021-05-03 |