| NPI | 1548421738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 67521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 53710) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 53710) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-01-10 |