| NPI | 1205094489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60271258) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301089957) |
| 207R00000X Internal Medicine (Licence: WA MD60271258) | |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2023-03-07 |