| NPI | 1154387199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 96-00877) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD043650L) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 19412) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-07-06 |