| NPI | 1619991114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA10966500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240560) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 26NJ01369300) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NY 240560) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-02-06 |