| NPI | 1861066458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: RI MD20904) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 1025028) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116038826) | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2026-06-08 |