| NPI | 1831182708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 121453) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 121453) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NY 121453) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |