| NPI | 1396230223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101275858) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2021013116) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2023-09-11 |