NPI | 1134126246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 29919) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 050505) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2010-05-28 |