NPI | 1558465708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A77563) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A77563) |
Enumeration Date | 2006-09-09 |
Last Update Date | 2020-09-30 |