| NPI | 1497757769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60647892) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 200300560) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME 98573) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA 326142) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OR MD198026) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2025-01-17 |