| NPI | 1942732953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME160948) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PR 021786) |
| 208D00000X General Practice (Licence: PR 34620) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: PR 021786) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-05-25 |