| NPI | 1164981965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 5101027937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04718) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA OL61280717) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-09-11 |