NPI | 1912311903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX U2979) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U2979) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2023-07-27 |