NPI | 1790927895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A103283) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103283) |
207RN0300X Internal Medicine, Nephrology (Licence: CA A103283) | |
Enumeration Date | 2009-04-03 |
Last Update Date | 2024-07-02 |