| NPI | 1891177424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 021276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21276) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PR 021276) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 31694-r) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-08-23 |