NPI | 1174574834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2020-0101) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q9258) |
207RN0300X Internal Medicine Nephrology (Licence: WI 47430) | |
207RN0300X Internal Medicine Nephrology (Licence: OK 30882) | |
207R00000X Internal Medicine (Licence: PA MD463332) | |
Enumeration Date | 2006-05-15 |
Last Update Date | 2023-07-24 |