| NPI | 1376788299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD459029) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 248576) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2016-08-18 |