| NPI | 1093983629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IA 39831) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 002676) |
| 207RN0300X Internal Medicine Nephrology (Licence: SC 31085) | |
| 207R00000X Internal Medicine (Licence: IA 39831) | |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2011-10-19 |