| NPI | 1477843688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD452285) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 278462-1) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.135411) | |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2023-04-18 |