NPI | 1689617177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD442890) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0058003) |
207RN0300X Internal Medicine, Nephrology (Licence: NY 60 251693) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2022-11-28 |