| NPI | 1548235740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD024192E) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 162019-1) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2011-06-22 |