| NPI | 1689985079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301110236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT 198189) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2016-06-23 |