NPI | 1972571024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OR 24328) |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: WA 44264) |
207RN0300X Internal Medicine Nephrology (Licence: ND 20926) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2024-08-29 |