NPI | 1811947997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 60111) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 60111) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2020-11-18 |