| NPI | 1750580445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01070207A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089565) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301089565) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301089565) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2025-03-06 |