NPI | 1104803683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G27424) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA G27424) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2021-04-19 |