| NPI | 1841313517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.120965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35094493) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2013-05-15 |