| NPI | 1174856090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0082136) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 27218) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA 0459403) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2016-12-05 |