| NPI | 1326263781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 436665) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX N8925) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2014-05-20 |