| NPI | 1417376906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2021-01324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4041) |
| 207R00000X Internal Medicine (Licence: KS 94-08416) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TN 4041) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-07-07 |