| NPI | 1225253792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35053258) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD433419) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: ME MD28543) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-01-29 |