| NPI | 1154557866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 49105) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI MD14011) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2014-05-18 |