| NPI | 1326039363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NY 1766651) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: PA MD047446L) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2008-02-28 |