NPI | 1457404816 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A54966) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR T2006-186) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2023-07-21 |