NPI | 1194870485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A107375) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107375) |
207RN0300X Internal Medicine, Nephrology (Licence: PA MD445173) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2024-05-16 |