| NPI | 1336348721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DE C1-0008414) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 247754) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MD D70875) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2010-06-23 |