NPI | 1154616373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A127012) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A127012) |
207RN0300X Internal Medicine, Nephrology (Licence: ZZ 57531) | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2024-04-19 |