| NPI | 1528321494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2017010070) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 33582) |
| 207R00000X Internal Medicine (Licence: KS 9407966) | |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2018-11-14 |