| NPI | 1174873988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX S4937) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD460594) |
| 208M00000X Hospitalist (Licence: PA MD460594) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116027866) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2024-07-30 |