| NPI | 1801191366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 267105) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60904619) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2020-08-06 |