| NPI | 1689036105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 75903) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: ME MD24974) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA10555700) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036166965) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-10-10 |