| NPI | 1538586896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD470536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291075) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 291075) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-09-08 |