| NPI | 1518288893 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA 60359656) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD171342) | 
| 207RN0300X Internal Medicine, Nephrology (Licence: ND 20143) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OK 27778) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OR MD171342) | |
| Enumeration Date | 2010-06-21 | 
| Last Update Date | 2025-08-13 |