| NPI | 1396997649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2019-01383) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ND 11322) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2009006929) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND RL10218) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2025-04-02 |