| NPI | 1407086325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301110789) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD450223) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2016-11-30 |