NPI | 1073936274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 61922) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52461) |
207R00000X Internal Medicine (Licence: WI 61922) | |
207RN0300X Internal Medicine, Nephrology (Licence: CT 52461) | |
Enumeration Date | 2014-01-24 |
Last Update Date | 2018-12-18 |