| NPI | 1528268810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD442150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007019388) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2021-01-16 |