NPI | 1942336938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 4991684-1205) |
Additional Taxonomies | 174400000X Specialist (Licence: UT 4991684-1205) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2023-08-04 |