| NPI | 1326234899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD455114) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 24923) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2021-06-01 |