| NPI | 1679592166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60003021) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A82601) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-02-01 |