| NPI | 1811915911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 229396) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 297625) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-05-08 |