| NPI | 1952539777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301104600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 099268) |
| 207R00000X Internal Medicine (Licence: MI 4301104600) | |
| 208M00000X Hospitalist (Licence: MI 4301104600) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194227) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2023-10-23 |