NPI | 1679544431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD27251) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00048170) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2025-09-25 |