| NPI | 1912100843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: AZ 52540) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: KS 0433271) |
| 207RN0300X Internal Medicine Nephrology (Licence: KS 0433271) | |
| 207RN0300X Internal Medicine Nephrology (Licence: SC 38250) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-09-10 |