NPI | 1992152961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 85868) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 85868) |
Enumeration Date | 2016-05-19 |
Last Update Date | 2021-07-20 |