| NPI | 1922459353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA10618100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10618100) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2025-04-17 |