| NPI | 1700869302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 23008) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA04730100) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD041372E) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 51360) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2024-04-19 |