| NPI | 1891781050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35038506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.038506) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2025-11-13 |