NPI | 1346478245 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101256491) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 31278) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2022-07-27 |