| NPI | 1679849475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301512900) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD460993) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2025-02-14 |