| NPI | 1962662437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD469559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 49500) |
| 208M00000X Hospitalist (Licence: CT 049500) | |
| 207R00000X Internal Medicine (Licence: CT 390200000x-student) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-03-13 |