NPI | 1477562718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G33719) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G33719) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2023-03-07 |