| NPI | 1871562892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR 13217) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA 23874) |
| 207RN0300X Internal Medicine, Nephrology (Licence: HI MD19676) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-01-14 |