| NPI | 1942569322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 299401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101256184) |
| 207R00000X Internal Medicine (Licence: NY 299401) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101256184) | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2020-04-27 |