NPI | 1104093624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 75661) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 046990) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 046990) | |
Enumeration Date | 2008-05-14 |
Last Update Date | 2024-07-05 |