NPI | 1750811949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 69533) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2022-05-11 |