| NPI | 1396857629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MB21982) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NJ MB02198200) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-10-30 |