| NPI | 1396973178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD446071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446071) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA10257500) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-06-02 |