| NPI | 1851743785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WA MD.MD.61114048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110438) |
| 207RN0300X Internal Medicine Nephrology (Licence: CA A161480) | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2021-09-09 |