| NPI | 1124125638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD037464E) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD037464E) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2022-08-11 |