NPI | 1508956004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX F6579) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F6579) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2022-11-16 |