NPI | 1619115524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 235693) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235693) |
Enumeration Date | 2009-01-30 |
Last Update Date | 2009-01-30 |