| NPI | 1851388417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 1564461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 156446-1) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2022-04-07 |