NPI | 1336160613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G43982) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM 98-149) |
207RN0300X Internal Medicine, Nephrology (Licence: NM 98-149) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2018-05-21 |