| NPI | 1730155607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D65600) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 165386) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2013-02-07 |