NPI | 1023085792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD031404E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD031404E) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2019-06-26 |