| NPI | 1518497460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 343116) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: LA 343116) |
| 208600000X Surgery (Licence: LA 343116) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-08-22 |