| NPI | 1821077926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35034854f) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 3132-320) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2024-07-09 |