| NPI | 1578091526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KS 05-46650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09286) |
| 207RN0300X Internal Medicine, Nephrology (Licence: KS 94-09286) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2023-03-10 |