| NPI | 1700311214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 283529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283529) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 283529) | |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2023-10-04 |