NPI | 1780664581 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA A43851) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A43851) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2010-07-13 |