| NPI | 1982994836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 71698) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 276522) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2022-08-04 |