| NPI | 1891888434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TN 46761) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NJ MA47176) |
| 207RR0500X Internal Medicine Rheumatology (Licence: PA MD046569L) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-03-25 |