NPI | 1104270305 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A16166) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 16166) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2022-09-02 |