NPI | 1992988257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 45373) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 45373) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2017-04-06 |