| NPI | 1376567479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 102811) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 102811-1) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-11-29 |