| NPI | 1609952381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WA M000036107) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: ID M-11158) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-03-12 |