NPI | 1447242680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 15619) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 9905) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2007-07-08 |