| NPI | 1780713032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 59582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00041880) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00041880) | |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2021-05-20 |