| NPI | 1639469869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD MD920522Z) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198792) |
| 207R00000X Internal Medicine (Licence: PA MD449655) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT198792) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2022-07-21 |