| NPI | 1649376088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD463662) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0047679) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-07-14 |