| NPI | 1447387436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME115193) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD440282) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-02-08 |