NPI | 1467654541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX D1543) |
Additional Taxonomies | 174400000X Specialist (Licence: TX D1543) |
207R00000X Internal Medicine (Licence: TX D1543) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2024-06-18 |