| NPI | 1952444994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35093596) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101058621) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-06-03 |