| NPI | 1578790077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS015288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015288) |
| 207R00000X Internal Medicine (Licence: PA OT012850) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 34010657) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2022-12-20 |