| NPI | 1265423024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD451278) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35-05-3672-R) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-08-29 |