NPI | 1366709909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS018908) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA OT014471) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2022-06-03 |