NPI | 1356640171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01084173A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.123101) |
207R00000X Internal Medicine (Licence: PA MD476950) | |
207RN0300X Internal Medicine, Nephrology (Licence: OH 35123101) | |
Enumeration Date | 2011-03-18 |
Last Update Date | 2024-02-02 |