| NPI | 1124027727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD044118L) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA 044118L) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-09-02 |