NPI | 1366437279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 38226) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 38226) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 38226) | |
Enumeration Date | 2005-09-16 |
Last Update Date | 2022-05-23 |