| NPI | 1457564601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 13466615-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.140576) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 27857) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-05-03 |