| NPI | 1073629150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ID M-8219) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00037068) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-06-16 |