| NPI | 1649243254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 30421) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35046721) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2014-09-03 |