| NPI | 1659578508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.127159) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MS 21581) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2016-04-26 |