| NPI | 1295940229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ND 12201) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036122207) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036122207) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2024-12-03 |