NPI | 1912183179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2009-01070) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235462) |
207RN0300X Internal Medicine, Nephrology (Licence: GA 059062) | |
Enumeration Date | 2008-01-17 |
Last Update Date | 2011-11-29 |