NPI | 1578050407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 5066) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 333745) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000X) | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2024-04-18 |