NPI | 1033505581 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CA A170493) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A170493) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-11 |
Last Update Date | 2021-04-09 |