| NPI | 1932385002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 223471) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 240281-1) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2011-03-16 |