NPI | 1962997759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KS 04-44634) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-44634) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2024-07-30 |