NPI | 1073538088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 052234) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 052234) |
207R00000X Internal Medicine (Licence: GA 052234) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2009-09-24 |