| NPI | 1730193533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35088239) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35088239) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35088239) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-01-24 |