| NPI | 1346776770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA OP61054499) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX U0823) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-01-31 |