| NPI | 1669426243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00048412) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NM 2003-0641) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-11-14 |