NPI | 1831322932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125-057074) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01075950A) |
207RN0300X Internal Medicine, Nephrology (Licence: MT MED-PHYS-LIC-50732) | |
207RN0300X Internal Medicine, Nephrology (Licence: KY 50743) | |
Enumeration Date | 2009-08-24 |
Last Update Date | 2024-06-27 |