| NPI | 1477500718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD431120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224133) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2008-05-22 |