| NPI | 1629238993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MD465438) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MA 257302) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2020-12-12 |