| NPI | 1023423704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD61019288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61019288) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61019288) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2020-05-13 |