| NPI | 1528357852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 276084) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 053699) |
| 207R00000X Internal Medicine (Licence: NY 276084) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2019-10-29 |