| NPI | 1669688412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD445193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188798) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-07-27 |