| NPI | 1659494896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 57.009977) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.090636) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-12-12 |