NPI | 1104820539 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 21893) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CO 21893) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2008-03-26 |