NPI | 1215342449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301114038) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065890) |
207R00000X Internal Medicine (Licence: MI 4301114038) | |
208000000X Pediatrics (Licence: MI 4301114038) | |
208000000X Pediatrics (Licence: IL 125065890) | |
Enumeration Date | 2014-06-26 |
Last Update Date | 2022-04-12 |