| NPI | 1801800479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD011737E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD01173737E) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-09-14 |