NPI | 1811134281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P9842) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 050460) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2022-12-06 |