NPI | 1164779393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD57778) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX BP20051920) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2022-03-23 |