| NPI | 1740355403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60144258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD26581) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-02-04 |