| NPI | 1972711133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD-442612) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08271200) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101238241) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2014-05-13 |