| NPI | 1982044277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD462053) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA10356000) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD214753) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2023-03-28 |