NPI | 1689101313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NJ 25MA12709300) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA12709300) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-12 |
Last Update Date | 2025-07-03 |