| NPI | 1871718338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD431419) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD431419) |
| 208M00000X Hospitalist (Licence: PA MD431419) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-03-03 |