NPI | 1962766139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-45740) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45740) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2019-09-23 |