NPI | 1043500259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2014040548) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014040548) |
Enumeration Date | 2011-04-10 |
Last Update Date | 2023-09-21 |