| NPI | 1245404441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME116033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME116033) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35093984) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2021-03-30 |