| NPI | 1861438558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00040610) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00040610) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2021-03-30 |