| NPI | 1114116720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 89920) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME129205) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NY 246251) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2023-08-28 |