| NPI | 1194792531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD061181L) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 221448) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NV 21454) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2021-12-07 |