| NPI | 1215017736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 149305) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL 108803) |
| 207R00000X Internal Medicine (Licence: NY 149305) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-02-28 |