| NPI | 1841423019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 50310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50310) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2017-09-06 |