| NPI | 1700994027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2012006658) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0435588) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2012-07-31 |