| NPI | 1407345408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD482699) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA 482699) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2024-09-26 |