| NPI | 1194817486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MB09012500) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD H0068815) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS013780) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-06-18 |