| NPI | 1437504172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD490584C) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0090615) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2025-09-25 |