| NPI | 1861478091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD072907L) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD-072907-L) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WV 20507) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2021-07-07 |