NPI | 1881694529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 038321) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 038321) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2015-05-28 |