| NPI | 1295755254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME126106) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ MA37250) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD023383E) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2025-03-13 |