| NPI | 1720200801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35-080319) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: DC MD035449) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-12-20 |