| NPI | 1275096067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2024-03234) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC RTL20-1126) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-12-02 |