NPI | 1528059003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 38000) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 035747) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2014-03-05 |