| NPI | 1730380056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 30159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244162) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-09-11 |