| NPI | 1639331101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD167613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD167613) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX N8418) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A116428) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: ID M-12991) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-08-13 |