NPI | 1699235101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61462284) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61462284) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-07-24 |