| NPI | 1235372574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0102203865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-02134) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2020-12-10 |