| NPI | 1700990629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MD429481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA PAMD429481) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-06 |