| NPI | 1548259229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C161769) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA 60181795) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 159588) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2021-12-17 |