| NPI | 1346248846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: FL 105924) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NY MD 116258) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2022-08-23 |