| NPI | 1629392501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.120530) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.120530) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2020-12-16 |