NPI | 1679581326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NC 2008-00276) |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: OH 34007397) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2020-08-05 |