NPI | 1366850711 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-51073) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0116031187) |
Enumeration Date | 2014-07-29 |
Last Update Date | 2025-07-09 |