| NPI | 1972709004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 280340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01063979A) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-04-26 |