| NPI | 1033194402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2006-00720) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA MD.201123) |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.201123) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2009-07-03 |