| NPI | 1649517624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 331849) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME164290) |
| 183500000X Pharmacist (Licence: FL PS42922) | |
| 183500000X Pharmacist (Licence: NY 061662) | |
| 183500000X Pharmacist (Licence: OH 03135483) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.149087) | |
| 183500000X Pharmacist (Licence: MD 24153) | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2026-09-04 |