| NPI | 1356569628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A94483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-00114) |
| 207R00000X Internal Medicine (Licence: NY 235755) | |
| 207R00000X Internal Medicine (Licence: CA A94483) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-02-11 |