NPI | 1154625838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 125.083080) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA R9047) |
Enumeration Date | 2011-01-10 |
Last Update Date | 2024-05-01 |