| NPI | 1386059905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 94482) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01082019A) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WY 17279A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11017950A) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2025-07-16 |