| NPI | 1366472979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD056128L) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 32042) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-09-02 |