| NPI | 1609250547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 1.060285) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CT 60285) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2022-09-01 |