| NPI | 1639435761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.124113) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2018-00615) |
| 207R00000X Internal Medicine (Licence: OH 35124113) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2025-11-19 |