NPI | 1811962244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: OH 35-092257) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD066938L) |
207R00000X Internal Medicine (Licence: OH 35-092257) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2010-07-30 |