| NPI | 1033842554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KS 94-12541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022023033) |
| 207R00000X Internal Medicine (Licence: MO 2022023033) | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2026-07-01 |