| NPI | 1164689840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD436636) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 003041) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2014-11-20 |