| NPI | 1770568719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 132057) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 038356) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2016-01-21 |