NPI | 1578697454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME105291) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35088500) |
207RN0300X Internal Medicine, Nephrology (Licence: AL 30678) | |
Enumeration Date | 2007-03-15 |
Last Update Date | 2019-04-26 |