NPI | 1194196410 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 273989) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273989) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2022-10-21 |