NPI | 1205889748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 10140) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35099267) |
207RN0300X Internal Medicine, Nephrology (Licence: OH 35099267) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2019-06-13 |