NPI | 1487975439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MT 50516) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P8450) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2016-09-20 |