NPI | 1154941185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA R-12692) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076796) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-20 |
Last Update Date | 2023-05-29 |