| NPI | 1467628032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 91259) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35098879) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2024-01-29 |