| NPI | 1629056460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 35551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046042) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA C198750) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OR MD22973) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00046042) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2025-03-10 |