| NPI | 1447542436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CO DR0061842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60484139) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2024-04-11 |