NPI | 1710502042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KS 04-51475) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-51475) |
207R00000X Internal Medicine (Licence: MO 2025035721) | |
207RN0300X Internal Medicine, Nephrology (Licence: LA 336951) | |
207R00000X Internal Medicine (Licence: LA 336951) | |
207RN0300X Internal Medicine, Nephrology (Licence: MO 2025035721) | |
Enumeration Date | 2020-06-12 |
Last Update Date | 2025-09-26 |