| NPI | 1073779831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60946535) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ND 11803) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 50720) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2019-09-17 |