| NPI | 1780063347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2018-0918) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD20180918) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2024-02-01 |