NPI | 1598205403 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL F652660873890) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL F652660873890) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2022-09-06 |