| NPI | 1477932093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301508147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35134136) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2023-10-17 |