| NPI | 1992891477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD436101) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 21871) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-06-17 |