| NPI | 1396062584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301105871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-01064) |
| 207R00000X Internal Medicine (Licence: MI 4301105871) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2022-07-21 |