| NPI | 1437310968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD458749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 267665) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 267665) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 37235) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2021-07-08 |