| NPI | 1487113627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD456497) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: PA MD456497) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |