| NPI | 1750313151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA 60166663) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A86094) |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.203487) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-02-10 |