| NPI | 1649436585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD150901) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60140050) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2022-02-04 |