| 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 |