| NPI | 1780832998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD28627) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61289826) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2026-04-16 |