| NPI | 1659535920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME136222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192959) |
| 207R00000X Internal Medicine (Licence: PA MD443119) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-07-27 |