| NPI | 1265841092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME168952) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-45791) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2024-11-04 |