| NPI | 1740444710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2013-00232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-00232) |
| 207R00000X Internal Medicine (Licence: PA MD447478) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2022-10-20 |