NPI | 1588870901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD442952) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228780) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2019-08-22 |