NPI | 1104817808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 48811) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 23383) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2010-01-20 |