| NPI | 1487933446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T3238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD19287) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T3238) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 00000000000000000000) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2021-11-30 |