| NPI | 1093953747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 26837) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY R0989) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2016-03-28 |