NPI | 1588758353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD428393) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08358900) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2022-05-31 |