| NPI | 1679503155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00047865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00047865) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2025-01-19 |