| NPI | 1790896082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD 046225-L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD 046225-L) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-03-15 |