| NPI | 1598025496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX S7831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX s7831) |
| 207R00000X Internal Medicine (Licence: IN 01075287A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2023-03-07 |