| NPI | 1992919526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME115471) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD442921) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-09-11 |