NPI | 1033230446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD0000044317) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 65873) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2011-08-08 |