NPI | 1831180363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 53601) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NH 9863) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2014-03-05 |