| NPI | 1083983886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MD449943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449943) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2017-09-15 |