NPI | 1396902862 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD152695) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD152695) |
207R00000X Internal Medicine (Licence: WA MD60180307) | |
207RN0300X Internal Medicine, Nephrology (Licence: OR A149733) | |
207RN0300X Internal Medicine, Nephrology (Licence: CA A149733) | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2021-11-11 |