NPI | 1679539415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A81212) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A81212) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2011-08-02 |