NPI | 1427187020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME120971) |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: WI 41851) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2021-12-30 |