| NPI | 1811977762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 59298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 130691) |
| 207R00000X Internal Medicine (Licence: NJ 35880) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2018-05-22 |