| NPI | 1891948220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101254122) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT189010) |
| 207R00000X Internal Medicine (Licence: PA MD436849) | |
| 207R00000X Internal Medicine (Licence: TN 48848) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2016-12-07 |