NPI | 1659469559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SC 19730) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 19730) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2024-08-05 |