NPI | 1881960938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2024037985) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD458106) |
207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA10297800) | |
207RN0300X Internal Medicine, Nephrology (Licence: PA MD458106) | |
Enumeration Date | 2012-03-22 |
Last Update Date | 2025-01-29 |