NPI | 1487614830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00034331) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00034331) |
207R00000X Internal Medicine (Licence: OR MD23813) | |
207RN0300X Internal Medicine, Nephrology (Licence: OR MD23813) | |
Enumeration Date | 2006-03-27 |
Last Update Date | 2024-10-09 |