NPI | 1639565286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A193223) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A193223) |
207R00000X Internal Medicine (Licence: MO 2020013469) | |
207RN0300X Internal Medicine, Nephrology (Licence: MO 2020013469) | |
Enumeration Date | 2015-04-10 |
Last Update Date | 2024-10-25 |