NPI | 1730318817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME123975) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: PA md447055) | |
207R00000X Internal Medicine (Licence: NY 268406) | |
Enumeration Date | 2009-07-09 |
Last Update Date | 2017-04-25 |