NPI | 1760597025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME96543) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0096543) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2010-06-25 |