| NPI | 1679725923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R9552) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 105531) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MN 54627) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND RL10815) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2021-07-08 |