| NPI | 1255348785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX G5135) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35060461) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-05-06 |