NPI | 1346550803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 26113) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198271) |
207RN0300X Internal Medicine, Nephrology (Licence: WV 26113) | |
Enumeration Date | 2010-10-18 |
Last Update Date | 2019-01-14 |