NPI | 1639173248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA GA018388) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 018388) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2019-08-01 |