NPI | 1811616691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD485603) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-08-24 |
Last Update Date | 2024-10-10 |