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 |