| NPI | 1457665622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD473265) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101257715) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2021-04-12 |