| NPI | 1407201239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX S9300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX s9300) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX s9300) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2022-08-17 |