| NPI | 1518004803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 54890) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1590) |
| 207R00000X Internal Medicine (Licence: CO 46174) | |
| 207R00000X Internal Medicine (Licence: UT 7299347-1205) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: UT 7299347-1205) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-07-15 |