| NPI | 1649376088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD463662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD463662) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MD D0047679) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2026-02-12 |