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 |