| NPI | 1548396336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MO 2008006956) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: KS 0433008) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-01-22 |