NPI | 1780201608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301512028) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351045941) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2025-07-02 |