NPI | 1215258017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 27952) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OK 27952) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2024-05-01 |