NPI | 1740444710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2013-00232) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-00232) |
207R00000X Internal Medicine (Licence: PA MD447478) | |
Enumeration Date | 2008-07-17 |
Last Update Date | 2022-10-20 |