NPI | 1427494715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 62090) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 62090) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-14 |
Last Update Date | 2019-07-11 |