| NPI | 1457748907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 68039) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036163200) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-04-17 |