| NPI | 1477656304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60600878) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34-00-5880-B) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA OP60600878) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-01-04 |