| NPI | 1366709909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS018908) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA OT014471) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2022-06-03 |