| NPI | 1265425532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00040221) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ID M-8328) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2025-07-24 |