| NPI | 1619901055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35073642) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: OH 35073642) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-02-04 |