| NPI | 1073037461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 88829) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 88829) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2023-05-16 |