| NPI | 1750910311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 04-51476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 77593-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-07-29 |