| NPI | 1255575924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 53100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194229) |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2024-07-11 |