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 |