NPI | 1114962610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G81238) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NV 11824) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2021-10-15 |