| NPI | 1538648928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 312353) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2023-04-05 |