| NPI | 1124126602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 233936) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 225398) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-11-29 |