NPI | 1740579440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA A141450) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D78012) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-04 |
Last Update Date | 2021-11-29 |