| NPI | 1649372319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD418543) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: PA MD418543) |
| 207R00000X Internal Medicine (Licence: PA MD 418543) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2024-02-07 |