| NPI | 1629528179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 309509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214831) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2023-10-06 |