NPI | 1184607970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G32167) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G32167) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2013-01-11 |