| NPI | 1982833851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD207664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446499) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194170) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2015-07-28 |