| NPI | 1902241441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DE C2-0012657) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT015377) |
| 207R00000X Internal Medicine (Licence: PA OT015377) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2018-06-29 |