| NPI | 1568674877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2010004186) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0434193) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 27836) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-07-20 |