| NPI | 1336429141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 313987) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 27206) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2021-12-03 |