| NPI | 1457709131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A173087) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 57247909) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2023-02-14 |