| NPI | 1669902318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0102207241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5583) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2023-08-18 |