| NPI | 1871554329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 238356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07860800) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2009-06-19 |