| NPI | 1689617177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD442890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0058003) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 60 251693) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-11-28 |