| NPI | 1578581427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD024429E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD-024429-E) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-06-17 |