| NPI | 1205248184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA10485300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08390) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: KS 94-08390) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2022-06-01 |