| NPI | 1235446709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 390200000x) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.098846) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2023-08-31 |