NPI | 1497097695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 63542) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 63542) |
207RN0300X Internal Medicine, Nephrology (Licence: WI 70916) | |
Enumeration Date | 2013-03-26 |
Last Update Date | 2020-10-27 |