| NPI | 1578578084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD455420) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD20624) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-02-23 |