NPI | 1578870929 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: AL 32950) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057392) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2015-06-16 |