| NPI | 1427348150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD183639) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60742774) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2025-09-25 |