| NPI | 1932123601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD196050) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00040743) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA 40743) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00040743) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MT MED-PHYS-LIC-80478) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-06-23 |