NPI | 1487107819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A169901) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301503015) |
207R00000X Internal Medicine (Licence: CA A169901) | |
Enumeration Date | 2016-08-02 |
Last Update Date | 2024-09-11 |