| NPI | 1578626297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD429778) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT187146) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-11-28 |