| NPI | 1174603591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD040296L) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD040296L) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-04-25 |