| NPI | 1609032523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD444543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191448) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2018-02-05 |