| NPI | 1891972386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01072218A) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.127728) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: LA MD.203682) | |
| 207R00000X Internal Medicine (Licence: IN 01072218A) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2025-04-09 |