| NPI | 1851888911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 343792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0024456) |
| 207R00000X Internal Medicine (Licence: NY 343792) | |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2026-06-26 |