NPI | 1093780082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD070676L) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD070676L) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2022-09-07 |