| NPI | 1316207277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 292646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02560) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MA 261432) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2019-11-01 |