NPI | 1730651878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 33579) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11488900) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-12-31 |
Last Update Date | 2024-08-27 |