| NPI | 1851787634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OH 57.026516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.026516) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2020-06-12 |