NPI | 1366407165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD023228E) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD023228E) |
207RN0300X Internal Medicine, Nephrology (Licence: PA MD023228E) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2010-07-12 |