| NPI | 1619256807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MT199210) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: AZ 52141) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2021-11-05 |