| NPI | 1508252743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA10946900) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 294484) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-09-15 |