| NPI | 1851516447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OR MD28045) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: WA MD60219076) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-07-16 |