NPI | 1578515896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A94608) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 4444) |
207R00000X Internal Medicine (Licence: CA A94608) | |
207RN0300X Internal Medicine, Nephrology (Licence: NM RS2012-0789) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2015-08-11 |