| NPI | 1467737601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NC 2019-00674) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: MD D0082559) |
| 208M00000X Hospitalist (Licence: PA MD452528) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2021-04-13 |