| NPI | 1831578590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 77911) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NM MD2021-0791) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2025-03-25 |