| NPI | 1962031989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.153259) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01090041A) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-09-10 |