| NPI | 1215250295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 58941) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD447017) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2019-06-26 |