NPI | 1891792818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 33042) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 33042) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2015-06-23 |