NPI | 1659574218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2008025169) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 4250) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2020-12-10 |