| NPI | 1871076661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: IA R-11389) |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2024-06-16 |