NPI | 1215155791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2007005511) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007005511) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2012-08-01 |