NPI | 1447543319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 47075) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: KY 47075) | |
Enumeration Date | 2011-05-25 |
Last Update Date | 2015-05-29 |