| NPI | 1619715760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI NO.84221-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 84221-20) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-11-20 |