NPI | 1215468392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2020-02550) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-02550) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2023-04-24 |