| NPI | 1902000532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: HI MD14418) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60017322) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-01-27 |