NPI | 1659365286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 12481) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX L1150) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2024-05-16 |