NPI | 1689644932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 160454) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 160454) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2024-11-18 |