| NPI | 1528528999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT227853) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MT227853) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-05-31 |