| NPI | 1871895664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME147708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD448859) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2021-07-23 |