| NPI | 1841728573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.146155) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301111991) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-09-11 |