| NPI | 1659537439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 67045) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 272162) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2021-02-08 |