NPI | 1649621053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD224247) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027492) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2025-07-09 |