| NPI | 1235136532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0427594) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 0427594) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2018-07-19 |