NPI | 1164592556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A20389) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A20389) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2019-08-05 |