| NPI | 1427481688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0029842) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301102128) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD424127) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |