| NPI | 1780002717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 23400-875) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: ID O-1729) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2022-12-28 |