| NPI | 1821159203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD472119) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 223243) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-10-16 |