NPI | 1457386591 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TN MD0000046768) |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: PA MD073607L) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2022-03-31 |