| NPI | 1265619456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: KY 44085) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P20819) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2022-07-12 |