| NPI | 1861406902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA02747700) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME25307) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |