| NPI | 1265691216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD450553) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA09456300) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-08-30 |