NPI | 1508853615 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DE C1-0006071) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0056782) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2021-06-17 |