| NPI | 1710936083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 46236) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD036031E) |
| 207R00000X Internal Medicine (Licence: PA MD036031E) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-09-02 |