| NPI | 1013090273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD211412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD211412) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD-018354-E) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 97-01377) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-07-12 |