| NPI | 1891085171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA OP61625004) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102205645) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0102205645) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2025-04-14 |