| NPI | 1154402360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301091207) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD070964L) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-05-31 |