NPI | 1255780995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 24) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022772) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-03 |
Last Update Date | 2023-02-08 |