| NPI | 1184184855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0072663) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A19618) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-05-15 |