| NPI | 1407240716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 19176) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NM mo2021-0309) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2021-0309) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 67807) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-10-12 |