| NPI | 1487817672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MD433184) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MA08558300) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2020-10-26 |