| NPI | 1629192372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD28438) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60025851) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-02-24 |