| NPI | 1023540572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA11822500) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD481393) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-08-10 |