NPI | 1316956865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G39229) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G39229) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2012-03-30 |