NPI | 1093792269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 27904) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA 30826) |
207RN0300X Internal Medicine, Nephrology (Licence: AZ 20419) | |
207RN0300X Internal Medicine, Nephrology (Licence: FL ME60884) | |
Enumeration Date | 2005-12-28 |
Last Update Date | 2020-08-18 |