| NPI | 1083960447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 83789) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD462403) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2022-05-24 |