NPI | 1912336199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D93619) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME122471) |
207RN0300X Internal Medicine, Nephrology (Licence: CT 60348) | |
Enumeration Date | 2013-11-07 |
Last Update Date | 2024-09-24 |