| NPI | 1063487494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WA MD60076892) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX M7347) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-10-18 |