NPI | 1588154041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD476859) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD476859) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2022-07-25 |