| NPI | 1366501363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO MD103812) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0424529) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-03-17 |