NPI | 1154555704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO 61865) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 251021) |
207R00000X Internal Medicine (Licence: MA 251021) | |
207RN0300X Internal Medicine, Nephrology (Licence: MA 251021) | |
Enumeration Date | 2009-05-12 |
Last Update Date | 2019-05-29 |