| NPI | 1770577447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 176072-1) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 176072-1) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-02-24 |