NPI | 1861019747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 36485-R) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 35470) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-06-26 |
Last Update Date | 2023-07-03 |