NPI | 1619405552 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0093027) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10059675) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2022-07-13 |