NPI | 1679765986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301090529) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 43010090529) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2021-06-21 |