| NPI | 1528159316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA 025209) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ID M5092) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00019462) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-06-23 |