| NPI | 1225298490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2013-01446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT187968) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2015-03-12 |