NPI | 1508090234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.131408) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036131408) |
207RN0300X Internal Medicine, Nephrology (Licence: IN 01089812A) | |
207RN0300X Internal Medicine, Nephrology (Licence: WV 31497) | |
Enumeration Date | 2009-05-09 |
Last Update Date | 2023-10-04 |