NPI | 1871836346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 69488-20) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR.0064177) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2022-06-07 |