NPI | 1770543217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 48058) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0062807) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2015-09-11 |