NPI | 1740431212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 55316) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39534) |
207R00000X Internal Medicine (Licence: IL 125.053928) | |
207RN0300X Internal Medicine, Nephrology (Licence: VT 042.0013476) | |
Enumeration Date | 2008-10-02 |
Last Update Date | 2021-06-30 |