| NPI | 1659430767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: KS 18236) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MO MDR8C89) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-09 |