| NPI | 1043637580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61239740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036147020) |
| 207R00000X Internal Medicine (Licence: WA MD61239740) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036147020) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2022-07-21 |