| NPI | 1205054459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60037579) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A72661) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-05-16 |