| NPI | 1013303015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 82698) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 293983) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2025-08-26 |