| NPI | 1902327356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA12823700) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 313260) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2025-10-08 |