NPI | 1881630143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 34803) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-078078) |
207RN0300X Internal Medicine, Nephrology (Licence: IN 01049480A) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2011-11-02 |