| NPI | 1821290750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036-154043) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 30921) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2004023071) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01076797A) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WY 8156A) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WI 57195-20) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2025-03-03 |