| 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 |