NPI | 1366954406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301507947) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301507947) |
207R00000X Internal Medicine (Licence: MI 4301507947) | |
Enumeration Date | 2017-10-30 |
Last Update Date | 2024-02-28 |