NPI | 1225041544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KS 04-47576) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD438144) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2023-05-05 |