| NPI | 1215142401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 44105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44105) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-02-23 |