| NPI | 1548523244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 34.014872) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS018656) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-08-10 |