| NPI | 1588845796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD445189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9316) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2022-07-21 |