| NPI | 1194172478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A175720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD468857) |
| 208M00000X Hospitalist (Licence: PA MD468857) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2024-07-15 |