| NPI | 1659724334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 95346) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD467854) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT211349) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2024-02-01 |