| NPI | 1568530210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ MA08173100) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 204714) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-01-31 |