| NPI | 1003981648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NJ 25MA05543600) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NJ MA55436) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-07-23 |