| NPI | 1023579927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: AZ 011020) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: MO 2022025164) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-06-25 |