| NPI | 1083750855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 268409) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD 268409) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-12-20 |