NPI | 1053383265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: AL 9436) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 9436) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2011-02-18 |