| NPI | 1679612964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 24800) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0431144) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-12-10 |