| NPI | 1821441932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 306549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D86925) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2022-06-10 |