| NPI | 1225207186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA BC60236553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 059959) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 059959) | |
| 207R00000X Internal Medicine (Licence: WA BC60236553) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2017-04-11 |