| NPI | 1770902744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: VA 0102204326) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204326) |
| 207RR0500X Internal Medicine Rheumatology (Licence: PA OS023154) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: NJ 25MB12139400) | |
| 208D00000X General Practice (Licence: VA 0102204326) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2024-05-05 |