| 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 |