| NPI | 1720390206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61395772) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GU M-2041) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2023-08-03 |