NPI | 1215399308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD209272) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A150426) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A150426) | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2022-07-19 |