| NPI | 1598385627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.163402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075939) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2023-06-12 |