| NPI | 1265446660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA OP1416) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 05-48772) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-01-09 |