| NPI | 1720168859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 27082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 27082) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-10-11 |