| NPI | 1093803884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WA MD00042562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004029821) |
| 207R00000X Internal Medicine (Licence: WA MD00042562) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-03-24 |