| NPI | 1912010893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR DO20155) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA OP00001659) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-08-23 |