NPI | 1396305439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 326666) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U9467) |
207RN0300X Internal Medicine, Nephrology (Licence: NY 326666) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-20 |
Last Update Date | 2024-08-18 |