NPI | 1366424129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME85229) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 15443R) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2014-01-06 |