| NPI | 1184870891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME141506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39628) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA 39628) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2025-02-19 |