| NPI | 1780643650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD037574E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD037574E) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2010-07-28 |