| NPI | 1366437279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: KY 38226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 38226) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: KY 38226) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2022-05-23 |