| NPI | 1396902862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD152695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD152695) |
| 207R00000X Internal Medicine (Licence: WA MD60180307) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OR A149733) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A149733) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-11-11 |