| NPI | 1407160138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 277231) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2015-03-20 |