| 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) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2024-08-29 |