| NPI | 1578581930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MD068939L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD-068939-L) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-06-17 |