| NPI | 1285061226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61293448) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-12077) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E-12077) | |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2023-05-02 |