| NPI | 1386715126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD436242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 201097) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-10-22 |