NPI | 1255852570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 67383) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272532) |
207RN0300X Internal Medicine, Nephrology (Licence: VT 042-0016744) | |
Enumeration Date | 2017-06-28 |
Last Update Date | 2024-01-10 |