| NPI | 1235126681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 178608) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 178608) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2021-04-22 |