NPI | 1669790838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A109234) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109234) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2020-08-28 |