| NPI | 1013022425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD24235) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00045274) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2026-06-10 |