| NPI | 1992093678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T3842) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 26890) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2022-01-13 |