| NPI | 1932514619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 67143) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 53557) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2022-07-21 |