| NPI | 1124236211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD472333) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD D68977) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2024-05-20 |