NPI | 1386028025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2024-0970) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 37198) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2024-12-09 |