| NPI | 1548203813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD020027E) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35048067) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 5957) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |