| NPI | 1588813240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KS 05-33901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 05-33901) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2018010825) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2019-07-10 |