NPI | 1073654570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A111164) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233518) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2016-08-02 |