| NPI | 1639669567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV DO3366) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL1342) |
| 208D00000X General Practice (Licence: NV DO2871) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008760) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-05-16 |