| NPI | 1164433249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NJ 25MA07649400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07649400) |
| 207RR0500X Internal Medicine Rheumatology (Licence: NY 241557) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-07-05 |