NPI | 1164401006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD018922E) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD018922E) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2007-07-08 |