| NPI | 1720217383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 34012761) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 03663) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2022-05-17 |