| NPI | 1316479009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 54129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4586) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2022-06-08 |