| NPI | 1720074990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ID M-10094) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00049028) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2021-06-16 |