NPI | 1285689968 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 38173) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35084461) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2021-10-04 |