NPI | 1174610273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C149852) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME92869) |
207RN0300X Internal Medicine, Nephrology (Licence: FL ME92869) | |
Enumeration Date | 2006-10-09 |
Last Update Date | 2020-02-26 |