| NPI | 1992033922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 53447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 11661) |
| 207R00000X Internal Medicine (Licence: ND PT 11661) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 5447) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2022-04-04 |