| NPI | 1700086550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60334187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60334187) |
| 207R00000X Internal Medicine (Licence: AZ 63022) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 63022) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2021-06-15 |