| NPI | 1942614599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 22037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 31036) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A161591) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2022-04-15 |