| NPI | 1386635605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35 043705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35043705) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2021-01-25 |