NPI | 1265450217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: KS 05-32943) |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: SC 898) |
207RN0300X Internal Medicine Nephrology (Licence: MO 112926) | |
208M00000X Hospitalist (Licence: MO 112926) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-10-26 |