| NPI | 1699755272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MD017565E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD017565E) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2010-06-08 |