| NPI | 1356496111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00010961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00010961) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-06-24 |