| NPI | 1245662428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD468090) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 28099) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2022-07-08 |