NPI | 1255464590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME99263) |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NY 234498) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2019-12-11 |