| NPI | 1144481789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NH 15291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255749) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: VT 042-0012248) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-01-26 |