| NPI | 1275704298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A100720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60601055) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2020-01-09 |