NPI | 1922539857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME152163) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: FL ME152163) | |
207RN0300X Internal Medicine, Nephrology (Licence: FL ME152163) | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2025-09-18 |