| NPI | 1770545485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MT 40556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00044527) |
| 207RN0300X Internal Medicine Nephrology (Licence: UT 5401452-1205) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-07-26 |