| NPI | 1134350523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.131399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194535) |
| 207R00000X Internal Medicine (Licence: NY P85884) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WV 25748) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2019-04-16 |