NPI | 1740631183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2021040899) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021040899) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2024-04-25 |