| NPI | 1568858314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101272373) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101272373) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 210164) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-06-29 |