NPI | 1962990648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 100910) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 100910) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2024-08-26 |