| NPI | 1023165172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NH 25530) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 272171) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.134834) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MA 79140) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-08-12 |