| NPI | 1912168865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD448616) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101252613) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA09917300) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0031847) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2016-08-31 |