| NPI | 1659438562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 34005641) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS013804) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2026-03-06 |