| NPI | 1568996627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 306697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10903200) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2024-08-18 |