| NPI | 1407938772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA OS013327) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MB07923100) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-08-02 |