| NPI | 1972957983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MT219139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.171373) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036171373) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2024-08-22 |