NPI | 1578870929 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 347490) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 32950) |
207R00000X Internal Medicine (Licence: IL 125057392) | |
Enumeration Date | 2010-09-07 |
Last Update Date | 2025-10-02 |