| NPI | 1811928336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60838598) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD187336) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101232410) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2026-04-02 |