| NPI | 1851538656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301508663) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 003898) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2023-04-04 |