| NPI | 1205856929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35-053029) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: OH 35-053029) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-08-01 |