NPI | 1730468570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 36627) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060198) |
Enumeration Date | 2011-08-10 |
Last Update Date | 2023-04-06 |