NPI | 1184857138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.125203) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.125203) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2015-05-21 |