NPI | 1609096072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301095451) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 243671) |
207RN0300X Internal Medicine, Nephrology (Licence: MI 4301095451) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2009-10-09 |