| NPI | 1679511810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A72386) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 259659) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-02-09 |