| NPI | 1861928681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 5101027962) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 34.015633) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MN 79972) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-10-07 |