| NPI | 1871952515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL OS15718) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL OS15718) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2021-05-30 |