NPI | 1992753263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 25890) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 25890) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2024-05-15 |