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 |