| NPI | 1487186839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2022021802) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 05-47164) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2024-06-14 |