NPI | 1376606087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 060755) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT189140) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2019-10-29 |