| NPI | 1417913435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 11463) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35-05-9311) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-04-10 |