NPI | 1508285099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 272754) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65449) |
207RR0500X Internal Medicine, Rheumatology (Licence: OR MD204155) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2025-09-19 |