| NPI | 1467420174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WA MD00043231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00043231) |
| 207R00000X Internal Medicine (Licence: OR MD24992) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2021-05-19 |