NPI | 1679562268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME83593) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 58146) |
Enumeration Date | 2005-10-17 |
Last Update Date | 2020-08-28 |