| NPI | 1679526313 | 
|---|---|
| Professional Name | THEODORE PATRICK WEIS | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA c34090) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA c34090) | 
| Enumeration Date | 2006-05-17 | 
| Last Update Date | 2009-11-12 |