| NPI | 1164419206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA04028600) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2017-08-15 |