NPI | 1265587075 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A11778) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 5399) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2016-04-26 |