| NPI | 1164458188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C 33656) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ ma052705) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-19 |