NPI | 1306829882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 42561) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 63687) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2025-07-15 |