| NPI | 1700969771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ MA60183) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ MA61083) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-07-30 |