| NPI | 1346550803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 26113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198271) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WV 26113) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-01-14 |