NPI | 1457504664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2013-00149) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT189894) |
Enumeration Date | 2008-10-31 |
Last Update Date | 2024-09-19 |