| NPI | 1659524924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60545167) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2012-00279) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2022-02-04 |