| NPI | 1467547711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60036716) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD167859) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60036716) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-01-23 |