NPI | 1043847817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 313189) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12113900) |
207R00000X Internal Medicine (Licence: NY 313189) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2025-08-07 |