| NPI | 1235471541 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01079818A) | 
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 128401) | 
| Enumeration Date | 2013-03-25 | 
| Last Update Date | 2025-09-10 |