| NPI | 1013093822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00013276) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00013276) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2010-06-23 |