NPI | 1538230628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 57022) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 181224) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2020-10-30 |