| NPI | 1649427428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY TP427) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01073372A) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2018-04-24 |