| NPI | 1801025820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 58585) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0437040) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2023-08-23 |