| NPI | 1326248386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WA MD60161574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60161574) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: WA MD60161574) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-07-01 |