NPI | 1639675242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME150974) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME150974) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2023-08-31 |