| NPI | 1316364888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME143258) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX S0279) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2020-02-20 |