| NPI | 1609872795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 195467-1) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 195467) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2023-07-05 |