| NPI | 1972539336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD011241E) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: PA MD011241E) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-01-08 |