NPI | 1801873732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 27054) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 27054) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2017-12-18 |