| NPI | 1689162778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 46673) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 311656) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2025-01-02 |