| NPI | 1700102159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD221569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60305088) |
| 207R00000X Internal Medicine (Licence: OR MD221569) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60305088) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2024-08-07 |