| NPI | 1487231809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 33022501) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 33022501) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2026-06-22 |