| NPI | 1851520381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 7123) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0437900) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2026-06-15 |