| NPI | 1710056007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 84334) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2009-00743) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NY 245668) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 245668) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-11-12 |