| NPI | 1992936561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 44946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44946) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 235062) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2018-11-16 |