| NPI | 1215258017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OK 27952) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 27952) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2024-05-01 |