| NPI | 1801013123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 247811) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD432015) |
| 207R00000X Internal Medicine (Licence: PA MT184890) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 247811) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD432015) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-03-15 |