NPI | 1588849921 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA12666200) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX R4520) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2025-07-07 |