| NPI | 1306227053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD464257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT208081) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-02-23 |