| NPI | 1073388971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 94-12073) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS T-5203) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-08-28 |