NPI | 1568495539 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME99831) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J9136) |
207RN0300X Internal Medicine, Nephrology (Licence: TX J9136) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2008-04-29 |