| NPI | 1457872350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NM MD2022-0183) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4351045817) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-20 |