| NPI | 1255521332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME127447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 071567) |
| 207RN0300X Internal Medicine Nephrology (Licence: WA MD61072096) | |
| 207RN0300X Internal Medicine Nephrology (Licence: GA 071567) | |
| 207RN0300X Internal Medicine Nephrology (Licence: TX S2503) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2024-04-22 |