| NPI | 1922567379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A194312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A194312) |
| 207R00000X Internal Medicine (Licence: IN 01087773A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2024-05-30 |