| NPI | 1205248523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD194413) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61057679) |
| 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-22971) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2025-09-25 |