| NPI | 1598024507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MB09295900) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 266534-1) |
| 207R00000X Internal Medicine (Licence: NJ 25MB09295900) | |
| 207R00000X Internal Medicine (Licence: NY 266534-1) | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2013-08-09 |