| NPI | 1720429483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD463360) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 255835) |
| 207R00000X Internal Medicine (Licence: MA 255835) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2020-09-01 |