NPI | 1568852838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301113282) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61151370) |
207RN0300X Internal Medicine, Nephrology (Licence: WI 1676-320) | |
Enumeration Date | 2015-01-26 |
Last Update Date | 2024-01-19 |