| NPI | 1730600875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 57592) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2020011731) |
| 207R00000X Internal Medicine (Licence: TX BP10060419) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-03-30 |