| NPI | 1598224859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 1015338) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2024-04-02 |