| NPI | 1144231531 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD210011556)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095474)  | 
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301095474)  | |
| 208000000X Pediatrics (Licence: MI 4301095474)  | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NC 9900843)  | |
| Enumeration Date | 2006-08-10 | 
| Last Update Date | 2024-06-12 |