| NPI | 1144480310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 063250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 254550) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-05-23 |