NPI | 1639188949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA08880800) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME96355) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2017-02-06 |