| NPI | 1699237693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX U9963) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-03-27 |