NPI | 1902369424 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 76372) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2022023357) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-11 |
Last Update Date | 2024-09-09 |