NPI | 1760652879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME107810) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD037977) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2024-12-18 |