| NPI | 1598286320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 76110) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 312404) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2024-03-13 |