| NPI | 1811420763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 44509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T1820) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX T1820) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2024-11-19 |