| NPI | 1932141421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 71407) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 055479) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-01-18 |