| NPI | 1730449653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0100321) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60641276) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2024-07-24 |